JAMIE DEW

September 2015 Eligibility Enrollment Specialist

December 2016 Medical Records Lead

July 2019 to Current Medical Records Manager

• Provided leadership and supervision to the QM Data Management Storage Specialist, Consumer Data Warehouse technician, and Medical Records Assistants within the Quality Management Division. Identified medical record needs and collection systems, interpret and analyze relevant data, develop and submit required reports, and identify trends and patterns
• Served as a consultant to professional staff and management in medical records activities
• Performs daily medical record keeping procedures
• Provides frequent consultation to medical record/data storage assistants, medical record assistants and CDW Technician and unit supervisors
• Interview, select, and train Medical Record and Eligibility Staff
• Employee Training and completes Employee Evaluations
• Assists Department Chief as needed
• Processes subpoenas and depositions consistent with regulations and policies
• Collaborate with DSS regarding APS/CPS
• Provides in-service training for facility staff on medical record policies and procedures and confidentiality
• Filled in as the HIPAA Privacy Officer; reported incidents to the State
• Collaborate with the Call Center to collect forensics received by the Court. Collect evaluation values from Forensic Screeners and submit to the State
• Completed Risk Assessments and Mitigation
• Attend meetings for the following committees/teams: Fatality Review, Alpha MCS, AD Hoc, Reports Committee, Policies and Procedures, Transition Team and Leadership Team/Director Meeting, and MediTrac System Implementation for Tailored Plan
• Processing and approving enrollment requests for Medicaid and state funded members submitted by Provider agencies
• Processing and approving changes to existing enrollments
• Verifying members are appropriately enrolled based on Medicaid county of residence
• Working with Providers and Eastpointe Staff to resolve problems with enrollments, client update requests, discharges, member merge, duplicate members, and error correction of 834 file
• Verifying Medicaid PHPB, Medicaid PHPC, Standard Plan, Medicare and private insurance
• Involved in system implementation and collaborated with IT for preparation for Tailored Plan: Worked with Conduent to implement Enrollments/CURs/Discharges/Eligibility in MediTrac/ iTransact Portal
• Identified key risks and issues/ Defect Tracker Log/Error Correction in Meditrac/ iTransact Portal
• Attended and presented on Provider/Townhall Meetings demonstrating iTransact Portal trainings sessions beginning Go-Live Date of 07/03/2023 to Current

• Pleasantly welcomed visitors, answered phone calls, and maintained front reception desk
• Updated system to organize office documentation, maximizing efficiency and increasing productivity
• Handled incoming calls and directed callers to appropriate department or employee
• Coordinated mailings including sorting mail, preparing packages for shipping via courier service or postal service
• Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies
• Fleet Coordinator
• Assisted departments with all clerical needs

• Responsible for reviewing open accounts in my caseload for collections
• Accounts Receivable - caseload consisted of insurance companies and private pay accounts
• Filed weekly electronic billing using Emdeon and SAMS interface
• Maintained weekly $2500 and over account
• Resolve client-billing problems and turned default accounts over to collections
• Coded home health CPT codes on claims, applied PO numbers to claims and supplies and made contractual adjustments to invoices
• Data Entry
• Applied good customer service in a timely manner

• Front Desk duties: Answered telephone, scheduled appointments, maintained patient accounts and medical records
• Updated databases with new and modified customer data
• Assisted Doctor with patients
• Assisted patient to their room, updated demographic information, took blood pressure

• Scheduled patient appointments with Behavioral Health/Substance Abuse Therapist
• Assisted Office Manager, Psychiatrist and Therapist daily
• Maintained patient accounts, insurance and medical records
• Data Entry
• Billing
• Ordered supplies and office equipment maintenance
• Assisted patients and drug reps as needed

• Greeted patients at the front desk, scheduled appointments, check in, answered telephone lines/Emergency calls, collected payment, pulled charts for the main and substance abuse centers in Wilson/Greene counties
• Maintained patient medical records and charts in an organized manner.
• Insurance and Data Entry
• Transcription for Psychiatrist
• Mail route to all mental/substance abuse centers in Wilson NC
• Assisted Psychiatrist, Nurse, and Therapist with emergency walk-in
• Daily contact with Law Enforcement to assist with Involuntary commitments